Individual
MELISSA L SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PAVILION AVE, SOUTH BURLINGTON, VT 05403-6913
(802) 922-6654
Mailing address
2 PAVILION AVE, SOUTH BURLINGTON, VT 05403-6913
(802) 922-6654
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0120755
VT
235Z00000X
Speech-Language Pathologist
144.0114683
VT
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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